Sometimes I just want to smack the doctor and tell him to cut me a break. "I'm wondering why the hell eight has strep in her pee! Just please quit acting like that's a stupid question!" Oh, I really wanted to clock him today. Really, it hurt my pride. Let's be honest. I have no idea why she had strep in her pee. Was it really that hard to tell me that strep pneumonia is excreted in the urine? Still foggy. Not to mention that my patient is wondering the same thing. Oh, it makes me angry. I asked him a question, and I'm not kidding you - he didn't even answer me! He must've grown up in Baltimore where that kind of behavior is appropriate. Or else he's just a doctor and thinks he can treat people like they are all idiots because they don't understand the mechanism of respiratory pneumonia being excreted in the urine without causing a urinary tract infection. Really? Don't even know where to start.
2's dying, and the son is putting on his strong face. 5 can't move because cancer broke his bones, but he keeps smiling. 15's daughter yelled at her, and her blood pressure passed 200 systolically, and that was the old fifteen. The new fifteen has Bell's palsy and mets to the liver and bone. 3's not mine, but she's fun to walk by. Short term memory loss secondary to brain cancer. Really funny lady. Her hair is always crazy. I can't remember everyone today. So many people came and went. The hospital was in status E today which means the emergency room is full, and we have to shoo people out to make room for new people. I started with six, went down to three, and came back up to five. It's a mess. My head is a mess, and that's why I took a bath. That's why I'm happy about putting sheets on the bed and making pancakes. And it's why I'm writing now. My head's too messy. I'm going to dream about giving enemas and suppositories tonight, probably to that stupid doc. And I'm going to write for it in his own chart. Hehe...
1. Dulcolax suppository BID PRN for constipation or stupidity. No lubricant, please. Pt is allergic.
2. Fleet's enema whenever pt ignores you.
3. Encourage proper etiquette for normal human beings. Do not call with results.
4. May discharge to home when pt is nice.
and I didn't mention this, but I don't have any other plans for tomorrow. Just sheets and pancakes. Probably a good idea, eh?